Loop electrosurgical excision procedure

Loop Electrosurgical Excision Procedure

TheLoop Electrosurgical Excision Procedure (LEEP) is a medical technique used to remove abnormal tissues from the cervix. It is commonly employed in the diagnosis and treatment of cervical dysplasia, which can be a precursor to cervical cancer. LEEP is favored for its effectiveness, minimal invasiveness, and ability to preserve healthy cervical tissue.

Procedure

LEEP involves the use of a thin, low-voltage electrified wire loop to excise abnormal cervical tissue. The procedure is typically performed in an outpatient setting and takes about 10 to 20 minutes. Local anesthesia is administered to minimize discomfort.

Steps

1.Preparation: The patient is positioned similarly to a Pap smear examination. A speculum is inserted to visualize the cervix. 2.Anesthesia: Local anesthesia is applied to the cervix to numb the area. 3.Excision: The electrified loop is used to cut away the abnormal tissue. The loop's size and shape can be adjusted based on the area needing treatment. 4.Hemostasis: After excision, a ball electrode or other device may be used to control bleeding and seal the tissue. 5.Post-procedure care: Patients are advised on post-procedure care, including avoiding tampons and sexual intercourse for a few weeks.

Indications

LEEP is indicated for patients with:

• Abnormal Pap smear results indicating high-grade squamous intraepithelial lesions (HSIL).
• Biopsy-confirmed cervical intraepithelial neoplasia (CIN) grades 2 or 3.
• Persistent low-grade lesions that do not resolve spontaneously.

Advantages

• Precision: LEEP allows for precise removal of abnormal tissue while preserving healthy tissue.
• Minimal invasiveness: The procedure is less invasive than traditional surgical methods.
• Quick recovery: Most patients recover quickly and can resume normal activities within a few days.
• Diagnostic and therapeutic: LEEP can both diagnose and treat cervical abnormalities.

Risks and Complications

While LEEP is generally safe, potential risks include:

• Bleeding
• Infection
• Cervical stenosis
• Preterm birth in future pregnancies

Aftercare

Patients are typically advised to:

• Avoid heavy lifting and strenuous activities for a few days.
• Refrain from using tampons and engaging in sexual intercourse for 3-4 weeks.
• Follow up with their healthcare provider for a post-procedure check-up.

Also see

• Cervical cancer
• Pap smear
• Colposcopy
• Cervical intraepithelial neoplasia